Success story
Ideal Foot Care PC
Ideal Foot Care PC came to MedHeave with a high-risk revenue problem that it could not resolve internally.
Project Metadata
Specialty
Podiatry
City
Astoria, New York
Practice size
3 providers
Locations
Multi-location
The challenge
A multi-location podiatry practice in Astoria came to MedHeave frustrated by a year’s worth of unresolved UnitedHealthcare claims, revenue that had quietly slipped away due to a previous biller’s failure to respond to medical record requests.Â
On top of that, ERA setups had never been completed, causing payment posting delays stretching back three months. Medicare claims were being billed incorrectly against routine foot care codes that payers never reimburse, and DME and orthotic authorizations were being submitted with no tracking process in place, generating a steady stream of avoidable denials.Â
The previous vendor lacked the platform expertise and payer-specific knowledge to address any of these issues systematically.
Results
$100 Thousand+
$100 Thousand+
from prior year lost revenue
Under 25 days down from 39 days
AR cycle time
60 days, initial improvements are visible
Time to results
Recovered 1 year of unpaid claims resolved
UHC claims
Cleared ERA setups completed for all major payers
Posting backlog
Ongoing payer-specific rules set as standard
Results sustainability
What we did
Recovered a year of stalled UHC claims
Identified that UnitedHealthcare denials stemmed from delayed medical record submissions by the previous biller. Submitted reconsiderations and appeals for all affected claims and recovered revenue that had been unaddressed for over 12 months.
Completed ERA setups & cleared posting backlog
Finalized EDI and ERA enrollments for Medicare, Healthfirst, Medicare DME, and other major payers, eliminating the three-month posting delay. Automated payment posting replaced the manual workflow entirely, accelerating cash flow.
Corrected Medicare billing for foot care codes
Identified that routine foot care claims were being submitted under codes that Medicare never reimburses. Corrected the billing approach in line with payer guidelines, eliminating this category of denials going forward.
Built an authorization tracking process for DME & orthotics
Established a structured prior authorization workflow with the provider’s office to ensure DME and orthotic claims were tracked and submitted only when authorizations were confirmed, removing a recurring and avoidable source of denials.
Your patients need your attention. 

Your claims need ours.
One conversation is enough to identify where your billing is losing revenue, which claims are failing and why, and what a correctly structured billing operation looks like for your practice type.
